Table 3 Summary of CMO configurations
CMOc Subsection | Context + Mechanism = Outcome | ||
|---|---|---|---|
1. Combats Isolation | Isolation | Social contact (resource) → Correcting misperceptions(response) | Likely improved in self-efficacy |
2. Vicarious Learning | Isolation | Exposure to others’ illness (resource) → gaining perspective on one’s illness situation (response) | Likely improved self-efficacy |
3. Feeling inspired by successful peers | Low/high motivation for self-management behavior | Exposure to others’ successes (resource) → trying to emulate success (response) | Likely improved self-efficacy |
4. Friendships develop between patients and providers | SMAs are more relaxed than one-on-one clinical encounters | New patient-provider friendships developed (resource) → fostering trust amongst all parties (response) | Likely improved motivations and self-efficacy |
5. Improved collegiality amongst providers | Providers typically work in isolation | Team members are able to witness and interact (resource) → leading to mutual appreciation of respective roles and bonding (response) | Likely improved service delivery and work satisfaction |
6. Provider learning | Providers unaware of patient needs | Group setting encouraged creative thinking about meeting people’s needs | Likely improved service delivery |
7. Adequate time allotment | SMAs are longer sessions than one-on-one clinical visits | Allows patients and providers to get to know each other, relax (resource) → leads to a sense of comfort for the patient (response) | Likely improved self-management |
8. First-hand health knowledge | Isolation | Group visit allows patients to share, confirm/dispute information (resource) → leads to patients feeling reassured about health knowledge provided (response) | Likely improved application of information given |
9. Increased trust in physician | Mistrust of physicians a common experience in healthcare | SMA creates more even power dynamics between patient and provider (resource) → leads to patient feeling increased trust in physician (response) | Improved doctor-patient relationship and likely improved self-efficacy |